Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $43.65 / $158.49	Facility		$41.69	$43.65	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $67.61	Professional		$41.69	$42.66	$67.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $151.36	Professional		$54.95	$54.95	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $91.20 / $234.42	Facility		$72.44	$91.20	$234.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67